Abstract：Objective To explore the risk factors of postoperative acute consciousness disorder of elderly patients with hip fracture and control measures. Methods Clinical data of 229 cases of elderly patients with hip fracture treated in the Second Hospital of Tangshan City from February 2014 to February 2017 were analyzed retrospectively. The incidence, clinical features and risk factors of postoperative acute conscious disturbance were analyzed, and then prevention and cure measures were discussed. Results Of 229 elderly patients with hip fracture, there were 62 cases of postoperative acute consciousness disorders, with the rate of 27.07%. Single factor analysis result showed that there were significant difference in age, postoperative infection, diabetes, adverse psychological factors, duration of anesthesia, mode of anesthesia, time of operation, intraoperative blood loss, postoperative pain score of postoperative acute consciousness disorders of elderly patients with hip fracture (P < 0.05). Multivariate Logistic analysis result showed that, age over 70 years, postoperative infection, diabetes, adverse psychological factors, anesthesia, intraoperative blood loss, postoperative pain scores were independent factors influencing the occurrence of acute consciousness disorders (OR=3.656, 1.857, 2.556, 2.031, 1.965, 2.062, 2.607, all P < 0.05). Conclusion The risk factors of acute consciousness disorders are age more than 70 years, postoperative infection, diabetes, adverse psychological factors, general intravenous anesthesia, intraoperative blood loss more and postoperative pain scores high. It should pay attention in clinical, and give intensive nursing, and strengthen perioperative care of elderly patients with hip fracture.
2017, Vol. 14 
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